Individual
DR. MARY CHRISTINE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1655 ELMWOOD AVE, STE 135, ROCHESTER, NY 14620
(585) 271-3600
(585) 271-1017
Mailing address
1655 ELMWOOD AVE, STE 135, ROCHESTER, NY 14620
(585) 271-3600
(585) 271-1017
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100193FC
PREFERRED CARE
—
01
—
P010005619
EXCELLUS
—
Enumeration date
05/15/2006
Last updated
11/04/2010
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